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General NPI Number Information
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NPI Number | 1821819897
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Entity Type | Individual
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Provider Name | DAVID MICHAEL ALVAREZ CNA
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Gender | Male
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 5305 N WINTHROP AVE
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City | CHICAGO
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State | IL
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Zip | 60640-2309
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Country | US
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Telephone | 773-850-6483
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Fax |
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Provider Business Mailing Address
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Address Line | 5641 N WAYNE AVE # 2N
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City | CHICAGO
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State | IL
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Zip | 60660-5541
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Country | US
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Telephone | 773-850-6483
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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